Organization
SIZA ES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THULI BUTHELEZI BCBA, LBS (LEAD)
(484) 757-5538
Entity
Organization
Contact information
Practice address
5 GREAT VALLEY PKWY STE 270, MALVERN, PA 19355-1426
(484) 757-5538
Mailing address
5 GREAT VALLEY PKWY STE 270, MALVERN, PA 19355-1426
(484) 757-5538
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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